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  • ED Staffing Scrutinized if Patient Experiences Bad Outcome in Waiting Room

    Plaintiff attorneys allege inadequate ED staffing contributed to patients’ bad outcomes in medical malpractice cases. Typically, accusers allege the hospital allowed dangerously low staffing levels despite concerns and that triage nurses were inadequately trained.

  • The Fourth Amendment: Coming to an ED Near You

    ED staff work closely with municipal and state law enforcement officials as well as in-house security workers. That relationship is critical to patient, public, and provider safety. The maintenance of a cordial and functional relationship is imperative. However, it cannot happen at the expense of patients’ health, dignity, and constitutional rights.

  • The Vagaries of Reported Penicillin Allergy

    The literature says that > 90% of patients who report a history of penicillin allergy can tolerate penicillin. Unstimulated penicillin sensitivity wanes over time: By age 10 years, 80% of allergic subjects are no longer allergic.

  • Osteoblast Modulation in Osteoporosis Treatment

    Most pharmacologic interventions currently in use for treatment or prevention of osteoporosis rely on osteoclast inhibition to enhance (or at least maintain) bone mineral density. In contrast, teriparatide primarily works by stimulation of osteoblasts.

  • Cardiovascular Benefits of Pharmacotherapies for Type 2 Diabetes

    The most recent American Diabetes Association 2018 guidance for pharmacotherapy of type 2 diabetes mellitus suggests that for patients with existing cardiovascular (CV) disease who are uncontrolled on metformin and lifestyle, consideration should be given to prioritizing agents demonstrated to provide CV risk reduction (empagliflozin, liraglutide, and canagliflozin).

  • Postprandial Glucose Excursions in Type 2 Diabetes

    The most recent American Diabetes Association 2018 guidelines suggest that for persons with established cardiovascular disease who have not attained glucose goals, incorporation of agents that have shown cardiovascular risk reduction (i.e., canagliflozin, empagliflozin, liraglutide) should be a priority.

  • Biomarkers for Tight Control of Crohn’s Disease

    The authors suggested that treatment escalation based on the combination of clinical symptoms with biomarkers produces more favorable outcomes.

  • Long-term Outcomes for Obesity

    The evidence of the advantages of bariatric surgery over medical management continues to accrue.

  • AOHP Seeks to Raise Profile

    The Association for Occupational Health Professionals in Healthcare is planning to raise its national profile and reassess its chapter organization and structure. These goals come as part of an update of the AOHP Strategic Plan, as the three-year run of the former plan expired in 2017.

  • Rare But Real Threat of Occupational HIV Remains

    It is accepted now with little fanfare how safer needle devices, post-exposure prophylaxis, and other improvements and interventions have reduced occupational HIV infection to a vanishing point. This wasn’t always the case.